Provider Demographics
NPI:1841812559
Name:CHRISTIAN, STEVEN ALLEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALLEN
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 862
Mailing Address - Street 2:APPALACHIA
Mailing Address - City:APPALACHIA
Mailing Address - State:VA
Mailing Address - Zip Code:24216
Mailing Address - Country:US
Mailing Address - Phone:804-624-4234
Mailing Address - Fax:
Practice Address - Street 1:85 DOGWOOD TER
Practice Address - Street 2:
Practice Address - City:BIG STONE GAP
Practice Address - State:VA
Practice Address - Zip Code:24219-2750
Practice Address - Country:US
Practice Address - Phone:804-624-4324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA195006050056Medicaid